Provider Demographics
NPI:1023578895
Name:DUROSS, JAMES M IV (APRN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:DUROSS
Suffix:IV
Gender:M
Credentials:APRN
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Mailing Address - Street 1:5011 GATE PARKWAY
Mailing Address - Street 2:BLDG 100 STE 100
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-7345
Mailing Address - Country:US
Mailing Address - Phone:904-512-7239
Mailing Address - Fax:866-380-0827
Practice Address - Street 1:5011 GATE PARKWAY
Practice Address - Street 2:BLDG 100 STE 100
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7345
Practice Address - Country:US
Practice Address - Phone:904-512-7239
Practice Address - Fax:866-380-0827
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2022-08-24
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002128207R00000X, 208VP0014X, 363L00000X
PASP020029363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine